CN103687561A - Surgical instruments with removable components - Google Patents
Surgical instruments with removable componentsDownload PDFInfo
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- CN103687561A CN103687561ACN201280035427.4ACN201280035427ACN103687561ACN 103687561 ACN103687561 ACN 103687561ACN 201280035427 ACN201280035427 ACN 201280035427ACN 103687561 ACN103687561 ACN 103687561A
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- closure plate
- pedestal
- claw component
- mating feature
- mechanical mating
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00477—Coupling
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1495—Electrodes being detachable from a support structure
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- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Technical field
The field of the present invention relates in general to reusable (reposable) or reusable surgical instruments.Especially, the present invention relates to have the apparatus of separable and interchangeable member, so that surface clean, aseptic or renovation to be provided when each example.
Background technology
For example the apparatus of Electrosurgical forceps is often used in open and endoscopic surgical program for condensing, burn and sealing tissue.Such pincers generally include a pair of pawl, and described a pair of pawl can control to grasp destination organization by surgeon, such as, blood vessel for example.Described pawl can be near each other so that mechanical grip power is applied to tissue, and be associated to allow with at least one electrode surface electrosurgical energy is passed to tissue.The combination that has now proved mechanical grip power and electrosurgical energy can connect the adjacent layer of clamping tissue between described pawl.When the adjacent layer of tissue comprises the wall of blood vessel, sealing tissue can cause hemostasis.After this, can be by before making cutter via pawl and then the tissue that seals of crosscut.Can in authorizing the people's such as Dycus No. the 7th, 255,697, United States Patent (USP), find the concrete discussion to the use of Electrosurgical forceps.
In use, the various tissue-contact members of Electrosurgical forceps are easy to contaminated or deteriorated.For example, when the part of handled tissue is attached to the tissue-contact surface of electrode, electrode may be contaminated.In addition,, after reusing, even in single surgical procedure, blade may rust and the organizational aspects effectiveness variation of sealing in crosscut.For for specific surgical procedure provides clean electrode and sharp cutter, usually use brand-new apparatus.Once the program of completing, just abandons used apparatus.
Can reuse or reusable apparatus has reduced the cost of the apparatus of each program for a plurality of programs.Yet, provide reusable Electrosurgical forceps to propose various challenges.For example, the complexity of Electrosurgical forceps trend towards causing the sizable cleaning procedure of labor intensity for use subsequently prepare pincers.Clean and may cause dangerous impurity to be introduced into surgical site improperly.In addition, some reusable tongers have removable and interchangeable member to provide clean surface for each use.Great majority in these apparatuses need to require difficult dismounting and the program of reassemblying of a large amount of training, and may hinder use apparatus.
Summary of the invention
The present invention describes a kind of surgical instruments for the treatment of tissue.Described apparatus comprises handle assembly, and described handle assembly has for described handle assembly being electrically coupled to the adapter in electrosurgical energy source.The end effector that includes a pair of relative claw component is operatively attached to the distal end of described handle assembly, with cause one or two in described claw component in response to the manipulation of handle assembly between open position and make position with respect to another motion.On in described claw component one of base supports.Described pedestal comprises mechanical mating feature, and with the conductive region of described adapter electric connection.Can be according to selecting the closure plate removing to be supported on described pedestal.Described closure plate comprises mechanical mating feature, the mechanical mating feature of described closure plate complementally the mechanical mating feature of engaged with base during use closure plate is held in the position on pedestal.Conductive region is arranged in closure plate, and is set to contact the conductive region of pedestal when the mechanical mating feature of pedestal and the mechanical mating feature joint of closure plate.The conductive region of described closure plate and the electrode surface electric connection in closure plate.The mechanical mating feature complementally engaging is included in the projection of the pair of spaced in pedestal or closure plate, and the groove of pair of spaced, and described groove opens wide with another the relative sidepiece in closure plate to pedestal.Therefore closure plate can be reversed to pedestal.
Described projection can be on longitudinal direction roughly separately and can extend from described pedestal.Described groove can be opened to the relative lateral sides of closure plate.Described groove can comprise nip, so that the head of each in projection stretches out in the bottom part of closure plate when described bump bonds groove.Described groove can comprise for closure plate being guided to the tapered opening in projection.
Described closure plate can comprise the fastened layer consisting of electrically insulating material and the confining surface consisting of conductive material.Described groove can be defined in described fastened layer.The conductive region of described pedestal can be defined on one or more in described projection.One or more electrode surfaces that surpass closure plate described in when closure plate is attached to pedestal in projection extend, so that projection keeps a gap between claw component described in when claw component moves to make position.
According to another aspect of the present invention, surgical instruments comprises handle assembly, and described handle assembly has for described handle assembly being electrically coupled to the adapter in electrosurgical energy source.The end effector that includes a pair of relative claw component is operatively attached to the distal end of described handle assembly, with cause one or more in described claw component in response to the manipulation of handle assembly between open position and make position with respect to another motion.On in described claw component one of base supports.Described pedestal comprises mechanical mating feature and conductive region.Described conductive region and described adapter electric connection.Can be according to selecting the closure plate removing to be supported on described pedestal.Described closure plate comprises mechanical mating feature and conductive region, complementally the mechanical mating feature of engaged with base is during use closure plate is held in the position on pedestal for the mechanical mating feature of described closure plate, and the conductive region of described closure plate is set to contact the conductive region of pedestal when the mechanical mating feature of pedestal and the mechanical mating feature of closure plate engage.The conductive region of described closure plate and the electrode surface electric connection in closure plate.The mechanical mating feature of described pedestal comprises at least one projection, and described at least one projection consists of electric isolated material and the electrode surface that surpasses closure plate when closure plate is attached to pedestal extends.Therefore described in when claw component moves to make position, projection keeps a gap between claw component.
The gap keeping can between roughly 0.001 inch to roughly between 0.006 inch.The mechanical mating feature of described closure plate can at least comprise the through hole of setting up frictional fit with described at least one projection, and described pedestal can comprise the hole that extends through described claw component, think that the instrument that will be inserted into provides passage, for pushing closure plate from described claw component.The conductive region of described pedestal can comprise the exposed lead wires of flexible circuit.
According to another aspect of the present invention, surgical instruments comprises handle assembly, and described handle assembly has for described handle assembly being electrically coupled to the adapter in electrosurgical energy source.A pair of relative claw component is operatively attached to the distal end of described handle assembly, with cause at least one in described claw component in response to the manipulation of handle assembly between open position and make position with respect to another claw component motion.At least one in described claw component comprises having the pedestal of mechanical mating feature and by the flexible circuit of described base supports.Described flexible circuit comprises the conductive region exposing with described adapter electric connection.Closure plate is supported on pedestal.Described closure plate comprises mechanical mating feature, the mechanical mating feature of described closure plate complementally the mechanical mating feature of engaged with base during use closure plate is held in the position on pedestal.Conductive region in closure plate is set to contact the conductive region of described flexible circuit when the mechanical mating feature of the mechanical mating feature of pedestal and closure plate engages.
Described relative claw component can operatively be attached to the distal end of handle assembly by the handle extending, the handle of described elongation extends betwixt.Described flexible circuit can from described at least one claw component proximad extend to the handle of described elongation, and described flexible circuit can consist of according to the structure of general planar flexible polymeric substrate.Flexible circuit can comprise flexible relatively large region, so that the motion of relative claw component between open position and make position.
Flexible circuit can be electrically coupled to described adapter by the slip joint being defined between described at least one claw component and the handle of elongation.Described slip joint can comprise the spring catch of conduction, and described spring catch is being biased between described at least one claw component and the handle of elongation with the claw component relative in electrically contacting between at least one claw component and the handle of elongation described in keeping between moving period between open position and make position.
Mechanical mating feature on described pedestal can comprise the opening being defined in pedestal, and the mechanical mating feature in described closure plate can comprise the post with head.Described head can be constructed to be sticked in the opening in pedestal closure plate be held in the position on pedestal and keep the electric continuity between closure plate and flexible circuit.
Accompanying drawing explanation
The accompanying drawing example that is merged in this description and forms the part of this description has illustrated embodiments of the invention, and, together with following, given the specific descriptions of described embodiment are used for to the principle of the present invention of explaining jointly.
Fig. 1 is the axonometric chart at distal end place with the endoscopic surgical instrument of end effector according to an embodiment of the invention;
Fig. 2 is the amplification stereogram of distal end of the described apparatus of Fig. 1, wherein shows the removable closure plate separated with described end effector;
Fig. 3 is the axonometric chart of an alternate embodiment of end effector, and wherein removable closure plate is separated with end effector;
Figure 4 and 5 are the axonometric chart of the alternate embodiment of removable closure plate;
Fig. 6 is the axonometric chart including for an alternate embodiment of the end effector of the mechanism of accommodating torsional mode closure plate;
Fig. 7 is the side view of an alternate embodiment that includes the end effector of a pair of claw component that can remove from the handle member extending, and wherein said claw component includes the mechanism for the removable closure plate of accommodating clamp-close type;
Fig. 8 is the side view of an alternate embodiment of end effector, and it includes and is constructed to hook to the removable closure plate of the distal end of in claw component and is configured to magnetically be attached to another the closure plate in claw component;
Fig. 9 is the axonometric chart of an alternate embodiment that includes the end effector of claw component, and wherein said claw component is constructed to the closure plate of accommodating Figure 10;
Figure 10 is the axonometric chart that comprises porose closure plate, and wherein said hole is configured to engage with the stop member being defined on the claw component shown in Fig. 9;
Figure 11 is the axonometric chart of an alternate embodiment that includes the closure plate of post, and wherein said post is configured to engage with the hole being defined on the remodeling claw component of Fig. 9;
Figure 12 is the axonometric chart that is defined in two wedge joints between tubular element;
Figure 13 is the partial side view that includes the apparatus of end effector, and wherein said end effector is attached to the handle of elongation removedly by buckle-type coupling; And
Figure 14 is the partial side view that includes the electricity at proximal end place and the apparatus of machinery joining mechanism of the handle that is arranged at elongation.
The specific embodiment
First please refer to Fig. 1, show an embodiment of surgical instruments 10.Apparatus 10 compriseshandle assembly 12, for thehandle 16 Long-distanceControl end effectors 14 that pass through to extend.Although this structure is conventionally associated with the apparatus for using in peritoneoscope or endoscopic surgical program, yet various aspects of the present invention also can be utilized traditional open apparatus and implement in conjunction with scope intracavity program.
In order to controlend effector 14,handle assembly 12 comprisesfixed handle 24 and flexible handle 26.Flexible handle 26 can be separated withfixed handle 24 and be approachedfixed handle 24 to open respectively and closed ends effector 14.Trigger 30 is also arranged onhandle assembly 12, and can be used to byend effector 14 stretch out and retraction cutter 44(referring to Fig. 2).The transmission of the electrosurgical energy that foot switch (not shown) can be set with startup and stop being carried out toend effector 14.
Please refer to now Fig. 2,end effector 14 is shown as in opening structure.Upper andlower claw component therebetween.Claw component handle 16 of elongation pivotally by extending through thepivot pin 36 of thehandle 16 of elongation.In order to engagepivot pin 36, upper andlower claw component handle 16 that extends to elongation.Proximal flange close claw component 32,34.The retraction offlexible handle 26 causeclaw component pivot pin 36 rotation with from opening tectonic movement to closed structure that whereinclaw component claw component
Various mechanisms can be set so thatflexible handle 26 is operatively associated withproximal flange 38,40.For example,flexible handle 26 can be attached to the reciprocating member (referring to the part 288,290 in Figure 13) that thehandle 16 by extending extends, as authorizes described in the people's such as Dycus No. the 7th, 255,697, the United States Patent (USP) of owning together.Described reciprocating member can be bonded on the cam path (referring to the part 304,306 in Figure 13) in eachproximal flange claw components handle 16 extending whenclaw component claw component
Reciprocatingcutter 44 can be according to selecting to move through thecutter passage 46 limiting viaclaw component 32,34.Cutter 44 and trigger 30(Fig. 1) be operatively associated, so that makecutter 44 advance and/or retract by handlingtrigger 30 viaclaw component 32,34.Cutter 44 comprises sharpdistal side edge 48, and it can be used for the tissue that crosscut is sealed betweenclaw component 32,34.In certain embodiments,cutter 44 can be constructed to remain in for example, in the advanced position of nearside (, betweenproximal flange 38,40), untilclaw component claw component
According to one embodiment of present invention,lower jaw member 34 is constructed to dovetailform closure plate 50 to discharge on thepedestal 52 that is placed in corresponding shape.Closureplate 50 comprises closedupper part surface 54, and closedupper part surface 54 has thegroove 54a corresponding tocutter passage 46 being defined in wherein.Groove 54a andcutter passage 46 are the optional feature that can eliminate from alternate embodiment (not shown).Theafterbody part 56 ofclosure plate 50 is from the peripheral side ofconfining surface 54 to upcountry protruding to limit trapezoidal or dovetail form profile with confining surface 54.Afterbodypart 56 is extended along two longitudinal sidepieces and a distally sidepiece of closure plate 50.The nearside sidepiece ofclosure plate 50 is not blocked to allowclosure plate 50 longitudinally to slide onpedestal 52 by afterbodypart 56, as indicated in arrow " A ".Afterbody part 56 can form frictional fit so thatclosure plate 50 is mechanically attached toclaw component 34 with pedestal 52.The joint of this type can contribute to the accurate placement ofclosure plate 50, and effective and releasable connection power is provided simultaneously.
Please refer to now Fig. 3, an alternate embodiment ofend effector 64 comprises upper andlower claw component 66,68.Lower jaw member 68 is constructed to the box-like closure plate 70 of modular card can discharge and be placed on corresponding pedestal 72.Closureplate 70 comprisesconfining surface 74 and from its outstanding skirt part 76.Contact pin 78 is inwardly outstanding fromskirt 76, for being placed in thegroove 80 that is defined in pedestal 72.Skirt 76 comprises that the stress reduction that is adjacent to be defined in wherein withcontact pin 78 removes notch 82.Notch 82 allowsskirt 76 bendings, and allows temporarily outwardsmobile contact pin 78 of side direction with permission, skirt to be arranged at above pedestal 72.Notch 82 also can contribute toclosure plate 70 removing after using.Notch 82 is provided for engaging wedge (not shown) or for the surface of another instrument thatclosure plate 70 is removed frompedestal 72.
Can betweenlower jaw member 68 andclosure plate 70, set up electric continuity by the one or moreelectric connectors 82 that are arranged in groove 80.Whenclosure plate 70 is mounted onpedestal 72 due to the intrinsic elasticity ofclosure plate 70,adapter 82 keeps contacting with contact pin 78.Alternatively or additionally,adapter 84 can be set in the lateral sides ofpedestal 72, so thatskirt 76 contacts withadapter 84 whenclosure plate 70 is mounted onpedestal 72.
Please refer to now Figure 4 and 5, show the alternate embodiment of clamp-closetype closure plate plate 88 and closure plate 70(Fig. 3) similar, include confiningsurface 92 and from its outstanding skirt 94.Closureplate 88 is with the difference ofclosure plate 70, andcontact pin 96 is outwards outstanding fromskirt 94 side direction, rather than side direction is inside.Outwardsoutstanding contact pin 96 can contribute to the installation ofclosure plate 88, because can makeskirt 94 curve inwardly along the direction side direction of arrow " B ", so thatcontact pin 92 is installed in corresponding groove (not shown).The outer surface ofskirt 94 can remain can be sensible, so that do not need specific purpose tool to install or remove.Closureplate 90 is included in theratchet 98 above it, for the corresponding mating component (not shown) on engaged with base (not shown).Described mating component can comprise for example device of the spherical plunger of spring-loaded, and the spherical plunger of described spring-loaded is set toengagement pawl 98 whenclosure plate 90 is suitably installed.Can set up electric continuity with contacting of spherical plunger or other mating component byratchet 98.
Please refer to now Fig. 6, an alternate embodiment ofend effector 100 comprisesclaw component 102, and it is constructed to discharge accommodating modularity, torsional mode closure plate 104.Claw component 102 comprisespedestal 106, and describedpedestal 106 has locatingdowel 108 and from its outstanding locking column 110.Location and locking column 108,110 are longitudinally separately and be set to joint and be defined in the groove 112,114 in the fastenedlayer 116 of closure plate 104.The bottom of groove 112,114 is cut so that the head 118,120 of each in post 108,110 stretches out in thebottom part 122 of fastened layer 116.Groove 112,114 is all opened to one ofclosure plate 104 relative lateral sides.Therefore, can in the followingmanner closure plate 104 be installed on pedestal 106:closure plate 104 is arranged between post 108,110 so that fastenedlayer 116, nearpedestal 106, and reversesclosure plate 104 so that groove 112,114 bond posts 108,110.Groove 112,114 includes one or moretapered opening closure plate 104 so thatgroove 114 is installed in locatingdowel 108 before engaging with locking column 110.The opening 114a ofgroove 114 comprises that single tapering is so that space to be provided, for makinglocking column 100 entergroove 114 whenclosure plate 104 is reversed.Therefore, locatingshaft 108 can provide pivot, for accuratelygroove 114 being guided to and locks 110.Whenclosure plate 104 is properly positioned,closure plate 104 is fastened onpedestal 106.
Closureplate 104 comprises theconfining surface 124 relative with fastened layer 116.Can betweenconfining surface 124 andclaw component 102, set up electric continuity by one or more conductive regions or adapter, described adapter is for example for example, for being arranged at theadapter 126 on a post (,post 110).Closureplate 104 can consist of conductive material completely, so that can electrosurgical energy be passed to confiningsurface 124 whenclosure plate 104 is suitably installed on pedestal 106.Alternatively, fastenedlayer 116 or the other parts ofclosure plate 104 can consist of electrically insulating material, and the electric connector ingroove 114 128 can with confiningsurface 124 electric connections.Electric connector 128 is configured to be reversed theadapter 126 of contact onpost 110 onclaw component 102 time inclosure plate 104.
Please refer to now Fig. 7, an alternate embodiment of end effector 130 comprises upper and lower claw component 132,134.Claw component 132,134 is all constructed to discharge accommodating closure plate 138 separately.Closure plate 138 comprises confining surface 140, skirt 142 and engaging post 144.Confining surface 140 consists of conductive material, and is set to the tissue that contact is caught between claw component 132,134.Skirt 142 is around confining surface 140, and can consist of plastic material.Post 144 is outstanding from skirt 142, so that the corresponding opening 148 that the claw component 132,134 by separately of the head 146 of post 144 in can engaged with base 150 limits.
The flexible circuit 152 of general planar is arranged in each of claw component 132,134 between the skirt 142 of closure plate 138 separately and pedestal 150.Flexible circuit 152 can be configured to substantially be wrapped in a plurality of conductive paths in insulating coating.Described coating can comprise flexible polymeric substrate, for example, from E.I.Du Pont Company (DuPont), can buy
(
) band or film.The flexible circuit 152 being arranged in upper jaw member 132 electrically connects electromotor 18(Fig. 1) the first terminal (+), and the flexible circuit 152 being arranged on lower jaw member 134 is electrically coupled to the second terminal (-) by the handle member 170 extending as described below.Exposed lead wires on flexible circuit 152 160 is set to be mounted in closure plate 138 electric continuity that claw component is set up between flexible circuit 152 and closure plate separately 138 at 132,134 o'clock.Being configured with of the general planar of flexible circuit 152 helps can be according to the joint repeatedly of the closure plate 138 of selecting remove and pedestal 150 with separated.
Flexible circuit 152 extends to the handle member 170 of elongation from their claw component 132,134 proximads separately.Due to the flexibility of flexible circuit 152, flexible circuit 152 can bear enough bendings to allow the motion of claw component 132,134 between open and close structure, and does not hinder the electricity operation of flexible circuit 152.The various piece of flexible circuit 152 can be configured to especially allow bending, for example, by the substrate material by relative flexibility, form, or by comprise the opening of tactic at substrate material.
Also be provided with slip joint 158 to keep each and the electromotor 18(Fig. 1 in claw component 132,134) terminal (+) separately, the electric continuity between (-).The proximal flange 162 of lower jaw member 134 comprises and is arranged at pivot pin 166 conduction arc 164 around.Spring catch 168 is arranged on the handle member 170 of elongation, and is electrically coupled to active (+) terminal of electromotor 18.When claw component 132 and 134 is between open and close structure during pivotable, make spring catch 168 setover to keep to contact with conduction arc 164.Similarly, the proximal flange 172 of upper jaw member 132 comprises and is arranged at pivot pin 166 conduction arc 174 around.Spring catch 178 is arranged on the handle member 170 of elongation, and be electrically coupled toelectromotor 18 return to (-) terminal.Make spring catch 178 setover to keep to contact with arc 174.Spring catch 168,178 provides with discharging of claw component 132,134 and engages.Therefore, claw component 132,134 can be disassembled from the handle member 170 extending, and replace with a pair of claw component 132,134 new or renovation.Can use spring catch 168,178 to rebuild electric continuity by new claw component 132,134 being mechanically attached to handle member 170, and without independent electric assembly.
Please refer to now Fig. 8, an alternate embodiment ofend effector 180 comprises upper and lower claw component 182,184.Lower jaw member 184 is configured to coordinate releasedly with closure plate 188.Closureplate 188 comprises distally unci 190, for being fastened on thedistal recesses 192 of lower jaw member 184.The wire or theround conductor 194 that are arranged at the proximal end place ofclosure plate 188 are constructed to be fastened in theslot part 196 being defined in lower jaw member 184.In other embodiment (not shown), the position that can put upside downconductor 194 andslot part 196, so that slot part is defined in removable closure plate and is constructed to be buckled on the conductor being defined inclaw component.Conductor 194 is electrically coupled to confiningsurface 200, so thatconfining surface 200 can be electrically coupled to electromotor 18(Fig. 1) return to (-) terminal.Make distally unci 190 and confiningsurface 200 electricity isolation.Active (+) terminal that therefore, can distally unci 190 be attached to independently bygroove 192 toelectromotor 18 provides single-stage top forend effector 180.
Please refer to now Fig. 9 and 10,end effector 210 comprises and is configured to the upper and lower claw component 212,214 of engaged closedplate 216 releasedly.Lower jaw member 214 comprisespedestal 218, andpedestal 218 has from its outstanding a plurality of stop members 220.Closureplate 216 comprises a plurality of throughholes 222 by the position corresponding tostop member 220 of itsrestriction.Hole 222 can be arranged atstop member 220 above with its formation frictional fit, so thatclosure plate 216 is mounted to pedestal 218.Can make upper and lower claw component 212,214 move to closed structure so thatclosure plate 216 is disposed intoposition.Stop member 220 can be configured to be retracted inlower jaw member 214, once just to be usedclosure plate 216 is discharged frompedestal 218 in closure plate.
Please refer to now Figure 11, an alternate embodiment ofclosure plate 230 comprisesconfining surface 232 and a plurality ofbond posts 234 of giving prominence to from its relative opposite side.Closureplate 230 can metal injection molded by comprising (metal injection molding:MIM) building method and by conductive material, formed completely.Post 234 is configured to the hole 236(being formed inlower jaw member 214 shown in broken lines) formationfrictional fit.Hole 236 extends throughclaw component 214, so that instrument (not shown) can be inserted through tohole 236post 234 is squeezed out fromhole 236 andclosure plate 230 is removed frompedestal 218.
Please refer to now Figure 12, can usewedge joint 244 to set up releasable machinery and electrical connection between tubular element 240,242.Thetubular element 240 of nearside can be attached to reusable handle assembly 12(Fig. 1) and thetubular element 242 in distally can be attached to modularity end effector 14(referring to Fig. 1).Therefore,wedge joint 244 is provided for removing and replacing the mechanism ofwhole end effector 14.
Thetubular element 240 of nearside comprises thewedge 246 laterally protruding being defined betweentapered wall accommodating part 252 of wedge of depression betweentapered wall 250 and 254.When tubular element 240,242 nearside and distally is laterally near each other, theaccommodating part 252 ofwedge 246 and wedge engages theaccommodating part 256 of wedge and thewedge 258 of thetubular element 242 in distally.Can between wedge 246,258 and the accommodating part 256,252 of wedge separately, set up frictional fit, so that can transmit mechanical force between tubular element 240,242.For example, thetubular element 240 of nearside longitudinally and rotatablely move and cause the corresponding motion in thetubular element 242 in distally.
Can also be by making the laterally electric continuity of setting up near each other of tubular element 240,242.Thetubular element 240 of nearside comprises from the outstandingconductive pin 260 of its distal end and the accommodating recess of the conductive pin on its lateral sides or groove 262.Pin 260 can be electrically coupled to electromotor 18(Fig. 1 with recess 262) relative terminal (+), (-).Recess 262 is configured to the outstandingconductive pin 264 of proximal end of the accommodatingtubular element 242 from distally.Conductive pin 264 can be with modularity end effector 14(referring to Fig. 1) closure plate or electrode electric connection.Therefore,, by setting up the electric connection betweenrecess 262 andpin 264, can between active (+) terminal ofend effector 14 andelectromotor 18, set up electric continuity.Similarly,pin 260recesses 266 that can be electrically coupled in thetubular element 242 that is defined in distally, to set up the electric continuity between (-) terminal that returns ofend effector 14 andelectromotor 18.
Please refer to now Figure 13, an alternate embodiment that shows the machinery between the tubular element 272 of modularity end effector 270 and nearside and electrically connect.The tubular element 272 of nearside comprises the distal end outstanding pair of pin 276 laterally from it.Pin 276 forms buckle-type with the tubular element 278 in the distally of end effector 270 and engages.Pin 276 is electrically coupled to electromotor 18(Fig. 1) relative terminal (+), (-), and engage the flexible circuit 280 in the tubular element 278 that is arranged at distally.Flexible circuit 280 is electrically coupled to claw component 282,284, so that can set up electric continuity between claw component 282,284 andelectromotor 18.
Set up other mechanical attachment extending through the reciprocating drive rod 288 of tubular element 272 and extend through between the drive rod 290 in distally of tubular element 278 in distally.Drive rod 288,290 coordinates so that realize the motion of claw component 282,284 between open and close structure.Make each in claw component 282,284 around pivot pin 292, be attached to the tubular element 278 in distally, so that claw component 282,284 can be switched to closed structure, the tissue that wherein claw component 282,284 draws closer together to be clamped in therebetween.Claw component 282,284 comprises the driving flange 294,296 of the nearside separately in the tubular element 278 that extends to distally, wherein driving flange 294, the 296 engages drive pins 298 of nearside.Drive pin 298 is arranged in the driver slot longitudinally 302 of the tubular element 278 that extends through distally actively.Each in the nearside driving flange 294,296 of claw component 282,284 comprises cam path 304,306 separately, cam path 304,306 engages drive pins 298 when drive pin 298 passes through driver slot 302 reciprocating motion longitudinally.With respect to driver slot 302 longitudinally, cam path 302 and 304 are set obliquely, so that the lengthwise movement of drive pin 298 causes that claw component 282,284 is along the direction of arrow " C " around pivot pin 292 pivotables.
Drive pin 298 is operatively associated with the drive rod 290 in distally, and the drive rod 290 in distally is operatively associated with reciprocating drive rod 288 by separable coupling 308.Coupling 308 engages another J-shaped ends 310,312 by each the J-shaped end 310,312 in drive rod 288,290 and limits.Can make reciprocating drive rod 288 and flexible handle 26(Fig. 1) be operatively associated to cause the lengthwise movement in drive rod 288.This lengthwise movement can be sent to by coupling 308 drive rod 290 in distally.This lengthwise movement is sent to drive pin 298 with open and close claw component 282,284.
Please refer to now Figure 14, modularity end effector 320 is configured to be attached to removedly to the handle 322 of elongation.Driven unit 324 extends from end effector 320 proximads, and can comprise for starting claw component 326,328 and/or reciprocating cutter 44(referring to Fig. 2) reciprocating member.Driven unit 324 also can comprise electric conductor (not shown), and described electric conductor is configured to transmit electrosurgical energy by it, electrosurgical energy is provided to claw component 326,328.Machinery and electrically connect the proximal end place that member 330 is arranged at driven unit 324, and be configured to be arranged at the handle 322 of elongation in the releasable joint of corresponding coupling member 332.
Coupling member 332 mechanically can be attached to one or more actuators, for exampleflexible handle 26 or trigger 30(are referring to Fig. 1) so that can cause by drivenunit 24 mechanical movement of end effector 320.Similarly, coupling member 332 can be electrically coupled to electrosurgery electromotor 18(Fig. 1) so that electrosurgical energy can be passed to claw component 326,328.For modularity end effector 320 being mounted to the handle of elongation, coupling member 330 inserted in the unlimited distal end of the handle 322 extending and coupling member 330 advanced until engage coupling member 332.Can make corresponding coupling member 330,332 mutually mechanically connect and electrically connect by snap-engagement, twistlock formula layout or other matching mechanism.
This modular can convenient operation person be assembled, because the end effector 320 in complete assembled state is provided.Assemble in advance a lot of relatively little or exquisite members of end effector 320, for example pivot pin 292(Figure 13), drive pin 298(Figure 13) and cutter 44(Fig. 2), to form, be convenient to hand-operated modularunit substantially.Cutter 44 partly can be avoided due to its advanced position in claw component 326,328 damaging between the installation period of end effector 320.This modular is also arranged at electric interlock member (for example, corresponding coupling member 330,332) and moist surgical site proximal position place significantly separately during use.Arrange nearside electric interlock member can be along with the past of time hold function, and can contribute to the clean of modular system.
Although above for object clear or that understand illustrates by example or example is at length described foregoing invention to a certain extent, yet it is evident that, can implement within the scope of the appended claims some change and modification.
Claims (20)
1. a surgical instruments, it comprises:
Handle assembly, described handle assembly comprises for described handle assembly being electrically coupled to the adapter in electrosurgical energy source;
Include the end effector of a pair of relative claw component, described end effector is operatively attached to the distal end of described handle assembly, so that at least one in described claw component moved with respect to another claw component between open position and make position in response to the manipulation of handle assembly;
Be supported in the pedestal at least one in described claw component, described pedestal is included in mechanical mating feature and the conductive region above it, described conductive region and described adapter electric connection; And
Be supported in the closure plate that can remove according to selection on described pedestal, described closure plate comprises mechanical mating feature and conductive region, the mechanical mating feature of described closure plate complementally engages the mechanical mating feature of described pedestal closure plate is held in the position on pedestal during use, and the conductive region of described closure plate is set to contact the conductive region of described pedestal, the electrode electric connection in described conductive region and closure plate when the mechanical mating feature of the mechanical mating feature of pedestal and closure plate engages;
Wherein, the mechanical mating feature complementally engaging is included in the projection of the pair of spaced in pedestal and closure plate, and the groove of pair of spaced, described groove opens wide with another the relative sidepiece in closure plate to pedestal, so that closure plate can be reversed to pedestal.
2. surgical instruments according to claim 1, is characterized in that, described projection is roughly being extended on longitudinal direction separately and from described pedestal, and described groove opens wide to the relative lateral sides of closure plate.
3. surgical instruments according to claim 2, is characterized in that, described groove comprises nip, so that the head of each in projection stretches out in the bottom part of closure plate when described bump bonds groove.
4. surgical instruments according to claim 3, is characterized in that, described groove comprises the tapered opening being defined in wherein, and described tapered opening is constructed to closure plate to guide in projection.
5. surgical instruments according to claim 2, is characterized in that, described closure plate comprises the fastened layer consisting of electrically insulating material and the confining surface consisting of conductive material, and described groove is defined in described fastened layer.
6. surgical instruments according to claim 5, is characterized in that, the conductive region of described pedestal is defined at least one in described projection.
7. surgical instruments according to claim 2, it is characterized in that, the electrode surface that at least one when closure plate is attached to pedestal in the projection of pedestal surpasses closure plate extends, so that projection keeps a gap between claw component described in when claw component moves to make position.
8. a surgical instruments, it comprises:
Handle assembly, described handle assembly comprises for handle assembly being electrically coupled to the adapter in electrosurgical energy source;
Include the end effector of a pair of relative claw component, described end effector is operatively attached to the distal end of described handle assembly, so that at least one in described claw component moved with respect to another claw component between open position and make position in response to the manipulation of handle assembly;
Be supported in the pedestal at least one in described claw component, described pedestal is included in mechanical mating feature and the conductive region above it, described conductive region and described adapter electric connection; And
Be supported in the closure plate that can remove according to selection on described pedestal, described closure plate comprises mechanical mating feature and conductive region, the mechanical mating feature of described closure plate complementally engages the mechanical mating feature of described pedestal closure plate is held in the position on pedestal during use, and the conductive region of described closure plate is set to contact the conductive region of described pedestal, the electrode surface electric connection in described conductive region and closure plate when the mechanical mating feature of the mechanical mating feature of pedestal and closure plate engages;
Wherein, the mechanical mating feature of described pedestal comprises at least one projection, described at least one projection consists of electric isolated material and the electrode surface that surpasses closure plate when closure plate is attached to pedestal extends, so that the protruding gap that keeps between claw component described in when claw component moves to make position.
9. surgical instruments according to claim 8, is characterized in that, the gap keeping between roughly 0.001 inch to roughly between 0.006 inch.
10. surgical instruments according to claim 8, is characterized in that, the mechanical mating feature of described closure plate at least comprises the through hole being defined in wherein, and described through hole is constructed to set up frictional fit with described at least one projection.
11. surgical instrumenties according to claim 10, is characterized in that, described pedestal comprises the hole that extends through described at least one claw component, thinks that the instrument that will be inserted into provides passage, for pushing closure plate from described at least one claw component.
12. surgical instrumenties according to claim 8, is characterized in that, the conductive region of described pedestal comprises the exposed lead wires of flexible circuit.
13. 1 kinds of surgical instrumenties, it comprises:
Handle assembly, described handle assembly comprises for described handle assembly being electrically coupled to the adapter in electrosurgical energy source; And
A pair of relative claw component, described a pair of relative claw component is operatively attached to the distal end of described handle assembly, with cause at least one in described claw component in response to the manipulation of handle assembly between open position and make position with respect to another claw component motion, at least one in described claw component comprises:
Include the pedestal of mechanical mating feature;
By the flexible circuit of described base supports, described flexible circuit is included in the conductive region exposing above it, described conductive region and described adapter electric connection; And
Be supported in the closure plate on described pedestal, described closure plate comprises mechanical mating feature and conductive region, complementally the mechanical mating feature of engaged with base is during use closure plate is held in the position on pedestal for the mechanical mating feature of described closure plate, and the conductive region of described closure plate is set to contact the conductive region of described flexible circuit when the mechanical mating feature of pedestal and the mechanical mating feature of closure plate engage.
14. surgical instrumenties according to claim 13, is characterized in that, described relative claw component is operatively attached to the distal end of handle assembly by the handle extending, and the handle of described elongation extends betwixt.
15. surgical instrumenties according to claim 14, is characterized in that, described flexible circuit from described at least one claw component proximad extend to the handle of described elongation.
16. surgical instrumenties according to claim 15, is characterized in that, described flexible circuit consists of according to the structure of general planar flexible polymeric substrate.
17. surgical instrumenties according to claim 15, is characterized in that, described flexible circuit comprises flexible relatively large region, so that the motion of relative claw component between open position and make position.
18. surgical instrumenties according to claim 14, is characterized in that, described flexible circuit is electrically coupled to described adapter by the slip joint being defined between described at least one claw component and the handle of elongation.
19. surgical instrumenties according to claim 18, it is characterized in that, described slip joint comprises the spring catch of conduction, described spring catch is biased between described at least one claw component and the handle of elongation, with the claw component relative, is keeping electrically contacting between described at least one claw component and the handle of elongation between open position and make position between moving period.
20. surgical instrumenties according to claim 13, it is characterized in that, mechanical mating feature on described pedestal comprises the opening being defined in pedestal, and the mechanical mating feature in described closure plate comprises the post with head, described head is constructed to be sticked in the described opening in pedestal closure plate be held in the position on pedestal and keep the electric continuity between closure plate and flexible circuit.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610576210.4ACN106214250B (en) | 2011-08-18 | 2012-08-09 | Surgical instrument with removable member |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/212,343US9028492B2 (en) | 2011-08-18 | 2011-08-18 | Surgical instruments with removable components |
| US13/212,343 | 2011-08-18 | ||
| PCT/US2012/050094WO2013025432A1 (en) | 2011-08-18 | 2012-08-09 | Surgical instruments with removable components |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610576210.4ADivisionCN106214250B (en) | 2011-08-18 | 2012-08-09 | Surgical instrument with removable member |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103687561Atrue CN103687561A (en) | 2014-03-26 |
| CN103687561B CN103687561B (en) | 2016-08-17 |
Family
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Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201280035427.4AExpired - Fee RelatedCN103687561B (en) | 2011-08-18 | 2012-08-09 | Surgical instruments with removable components |
| CN201610576210.4AExpired - Fee RelatedCN106214250B (en) | 2011-08-18 | 2012-08-09 | Surgical instrument with removable member |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610576210.4AExpired - Fee RelatedCN106214250B (en) | 2011-08-18 | 2012-08-09 | Surgical instrument with removable member |
Country Status (4)
| Country | Link |
|---|---|
| US (2) | US9028492B2 (en) |
| EP (3) | EP3461445A1 (en) |
| CN (2) | CN103687561B (en) |
| WO (1) | WO2013025432A1 (en) |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103876823B (en)* | 2014-04-04 | 2015-10-21 | 常州市延陵电子设备有限公司 | Energy type hemorrhoid cutting stapling apparatus |
| CN103876823A (en)* | 2014-04-04 | 2014-06-25 | 常州市延陵电子设备有限公司 | Energy type hemorrhoids cutting anastomosis device |
| CN105455895B (en)* | 2014-09-25 | 2018-02-13 | 柯惠有限合伙公司 | Surgical instruments |
| CN105455895A (en)* | 2014-09-25 | 2016-04-06 | 柯惠有限合伙公司 | Surgical instruments |
| CN105877837A (en)* | 2014-12-25 | 2016-08-24 | 瑞奇外科器械(中国)有限公司 | High-frequency electric surgical operating instrument and execution device thereof |
| CN106955159A (en)* | 2016-01-12 | 2017-07-18 | 佳乐医疗设备有限公司 | Electro-surgical device |
| CN106955159B (en)* | 2016-01-12 | 2021-03-30 | 佳乐医疗设备有限公司 | Electrosurgical instrument |
| CN106994042A (en)* | 2016-01-23 | 2017-08-01 | 柯惠有限合伙公司 | For tissue encapsulation and the apparatus and method of mechanical grip |
| CN114305647A (en)* | 2021-12-30 | 2022-04-12 | 上海圣哲医疗科技有限公司 | Jaw module and surgical instrument |
| CN114305647B (en)* | 2021-12-30 | 2024-12-13 | 上海圣哲医疗科技有限公司 | A jaw module and surgical instrument |
| CN118973496A (en)* | 2022-04-04 | 2024-11-15 | 蛇牌股份公司 | Surgical instrument with locking mechanism |
| CN118973496B (en)* | 2022-04-04 | 2025-08-05 | 蛇牌股份公司 | Surgical instrument with locking mechanism |
| US12408936B2 (en) | 2022-04-04 | 2025-09-09 | Aesculap Ag | Surgical instrument having a locking mechanism |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103687561B (en) | 2016-08-17 |
| EP3461445A1 (en) | 2019-04-03 |
| EP2744436A1 (en) | 2014-06-25 |
| US20150223872A1 (en) | 2015-08-13 |
| EP3281596A2 (en) | 2018-02-14 |
| US9028492B2 (en) | 2015-05-12 |
| EP3281596A3 (en) | 2018-05-09 |
| EP2744436B1 (en) | 2017-10-04 |
| WO2013025432A1 (en) | 2013-02-21 |
| CN106214250B (en) | 2020-04-03 |
| CN106214250A (en) | 2016-12-14 |
| US20130046295A1 (en) | 2013-02-21 |
| EP2744436A4 (en) | 2015-07-29 |
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